Active NPI
Paul Jakubec, M.D.
- Legal Medicine
- Morgantown, WV
National Provider Identifier
1477559524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 08988
- Practice address
- 404 Inglewood Blvd
Morgantown, WV 26505-7316 - Phone
- (304) 599-2004
- Fax
- (304) 599-7611
- NPI assigned
- Jun 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 08988 | WV | Primary |
Addresses
Primary practice location
404 Inglewood Blvd
Morgantown, WV 26505-7316
Mailing address
1267 Woodruff PL
Morgantown, WV 26505-2720
Phone (304) 599-4466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0109460000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08988 | WV | MD | Legal Medicine |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1477559524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1267 WOODRUFF PL",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265052720",
"telephone_number": "304-599-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 INGLEWOOD BLVD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265057316",
"telephone_number": "304-599-2004",
"fax_number": "304-599-7611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAKUBEC",
"first_name": "PAUL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "WV",
"license": "08988",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0109460000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.